Apparatus for securing a sensor to a surgical instrument for use in computer guided orthopaedic surgery
A self-centering coupling device is provided for coupling a sensor array to a surgical instrument for use in computer guided surgery. The self-centering coupling device includes a sensor support having a stem and sensor support arms coupled to the stem to support the sensors of the sensor array. The self-centering coupling device is received within a recess formed in the surgical instrument.
The present disclosure relates generally to a sensor used in computer guided orthopaedic surgery, and more specifically to coupling devices use in computer guided orthopaedic surgery.
BACKGROUNDMany computer guided orthopaedic surgical procedures are based on determining the position of bones, and relating this position into the computer via some type of ultrasonic, magnetic resonance, or optical sensor. A similar sensor is attached or contained within the surgical instrument and subsequently guided via a computer into the desired position within the patient. U.S. Patents and patent Publications relating to computer guided surgery include U.S. Pat. No. 5,520,694 and U.S. patent application Publication Nos. 2003/0153978 A1 and 2003/01538829 A1, each of which is hereby incorporated by reference. Similar computer guided navigation systems are disclosed in U.S. Pat. Nos. 6,514,259; 6,434,507; 6,428,547; 6,424,856; 6,351,659; 6,223,067; 6,187,018; 6,178,345; 5,889,834; 5,769,861; 5,702,406; 5,643,268; and 5,628,315, along with U.S. patent application Publication No. 2002/0038118 A1, each of which is hereby incorporated by reference. The accuracy of this guidance is dependent on various factors including, for example, computer hardware and software resolution, the location of the sensor on the surgical instrument, and manufacturing tolerances of the sensor and its attachment mechanism to the surgical instrument.
Tight manufacturing tolerances often result with increased cost of the attachment mechanism and require precise alignment of the components before assembly. This may decrease the user-friendliness of the operation of the attachment mechanism. In an operating room environment, for example, and particularly with the advent of minimally invasive surgery, the maneuvering space available to the surgeon becomes increasingly smaller. Precise alignment of tightly machined components having small tolerances may be difficult.
SUMMARYThe present disclosure comprises one or more of the features recited in the appended claims or one or more of the following features or combinations thereof.
According to one aspect of the present disclosure, a self-centering coupling device is used for securing a sensor to a surgical instrument for use in computer guided orthopaedic surgery. The device includes a sensor support having a support arm to support the sensor and a stem having a first end secured to the support arm. A second end of the stem is expandable between a first position in which the second end of the stem has a first width and a second position in which the second end of the stem has a second, larger width.
The device may further include a pin or fastener to secure the sensor support to the surgical instrument. The pin moves the second end of the stem from the first position to the second position. According to one illustrative embodiment, the stem includes a passageway defined by an inner sidewall. The inner sidewall is tapered at the second end of the stem. Insertion of the pin into the passageway causes the second end of the stem to be moved from the first position to the second position.
According to another aspect of the present disclosure, the sensor support is constructed with a polymeric material. In one illustrative embodiment, the sensor support is constructed with a polycarbonate plastic.
According to yet another aspect of the present disclosure, a surgical instrument used in computer guided orthopaedic surgery includes a body having a recess configured to receive a sensor support. The recess is defined by a first side wall, a second side wall, and a bottom wall. The first side wall and the second side wall are inclined relative to one another. The recess is further defined by a third side wall and a fourth side wall such that the third and fourth side walls are inclined also relative to one another. The first side wall and the second side wall are arranged in a substantially V-shaped configuration and the third side wall and the fourth side wall are arranged in a substantially V-shaped configuration.
According to still another aspect of the present disclosure, a method of attaching a sensor support carrying a sensor array to a surgical instrument for use in computer guided orthopaedic surgery includes positioning an end of the sensor support into a recess formed in the surgical instrument and inserting a pin into a passageway of the sensor support to urge outer walls of the sensor support to contact with a number of side walls of the recess.
According to yet another aspect of the present disclosure, a method of using a computer guided orthopaedic surgical instrument includes removing a first sensor support from a first sterile package, securing the first sensor support to the surgical instrument with a sterile fastener, performing a first computer guided orthopaedic surgical procedure, removing the fastener and the first sensor support from the surgical instrument, disposing of the first sensor support, sterilizing the fastener for use in a second computer guided surgical procedure, removing a second sensor support from a second sterile package, securing the second sensor support to the surgical instrument with the fastener, and performing a second computer guided orthopaedic surgical procedure.
The above and other features of the present disclosure will become apparent from the following description and the attached drawings.
BRIEF DESCRIPTION OF THE DRAWINGS
A self-centering coupling device 10 is used to attach a computer-guided sensor array 12 onto a surgical instrument such as a broach handle 14, shown in
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The stem 30 of the sensor support 18 includes a generally cylindrical outer wall 42 defining a passageway 44 between distal end 32 and proximal end 34. As shown in
The stem 30 of the sensor support 18 further includes first and second longitudinal slots 50, 52 formed in outer wall 42, as shown in
Slots 50, 52 cooperate to define first and second outer wall portions 56, 58 of outer wall 42. As is discussed in greater detail below, outer wall portions 56, 58 are movable between a first position shown in
Further, proximal end 34 of stem 30 has a first width, 63, when stem 30 is in the first position, as shown in
As is discussed in greater detail below, insertion of the pin 22 into the passageway 44 of the stem 30 expands the proximal end 34 of the stem 30 of the sensor support 18 by urging outer wall portions 56, 58 outwardly away from one another. The diameter of the tapered portion of passageway 44 is smaller than the diameter of the pin 22 inserted in passageway 44 such that the pin 22 acts against an inner surface or side wall 64 of the tapered portion of passageway 44 (defined by outer wall portions 56, 58) to move outer wall portions 56, 58 to their expanded positions.
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Sensor support 18 further includes a generally teardrop-shaped foot 100 formed by a lobe 101 at the proximal end 34 of stem 30. Foot 100 includes a portion of each outer wall portion 56, 58, as shown in
Illustratively, sensor support 18 is made by injection molding a polymeric material into a mold. The disclosure herein, however, is not limited by the injection molding process. In a specific exemplary embodiment, sensor support 18 is made from polycarbonate plastic. Other suitable plastics, such as polyethylene or high density polyethylene, for example may be used as well. For example, the sensor support 18 may comprise a plastic selected from the group consisting of acrylic, epoxy, polyester, polypropylene, polyurethane, polyethylene, polycarbonate, polystyrene, polysulfone, polyetherimide, polyethersulfone, polyphenylsulfone, polyphenylsulfide, acrylonitrile-butadiene-styrene polymer, polyetheretherketone, and combinations thereof. It should be appreciated that other types of thermosetting or thermoplastic resins may be used to fit the needs of a given design. Because sensor support 18 is made of a plastics material and is able to be mass produced by injection molding, for example, a generally low cost and disposable device is able to be produced. Further, the disposability of the sensor support 18 provides that the sensor support 18 does not need to be recalibrated after every use.
As shown in
Pin 22 further includes an outer rim 84 coupled to head portion 74. As show in
A threaded screw 69 of pin 22 is coupled to a proximal end of the plunger 76. Threaded screw 69 extends past a bottom wall 71 of foot portion 78 of pin 22, as shown in
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In use, the sensor support 18 may be sterilized and provided in a sterilized package (not shown). In preparation for the computer guided orthopaedic surgery, a surgeon or other member of the surgical team removes the sensor support 18 from the sterile package. The user then secures the sensor support 18 to the surgical instrument to be used during the computer guided orthopaedic surgery, such as the handle 14 of a broach, for example.
To secure the sensor support 18 to the handle 14, the foot portion 100 of the stem 30 is positioned within recess 16. Illustratively, the elongated tear-drop shaped portion of foot portion 100 is positioned between the second pair of longer side walls 90, 92 defining recess 16 such that sensor support 18 is oriented properly with respect to the broach handle 14. As mentioned above, foot portion 100 of stem 30 acts as a key and cooperates with the elongated diamond-shaped recess 16 to provide a single orientation of the sensor support 18 with respect to the broach handle 14.
Once sensor support 18 is properly positioned within recess 16, the pin 22 is inserted within the passageway 44, which is tapered at the proximal end 34 of the stem 30 of the sensor support 18, as shown in
As pin 22 is inserted further into passageway 44, the tapered end 73 of the pin 22 enters the tapered portion of passageway 44 at the proximal end 34 of the stem 30, as shown in
This process of expanding the proximal end 34 of stem 30 to the point at which the outer wall 42 of the proximal end 34 of the stem 30 engages the side walls 86, 88, 90, 92 of recess 16 operates to center the stem 30 (and thus the entire sensor support 18) within the recess 16. The self-centering coupling device 10 enables a user to easily and repeatably position the sensors 20 (mounted on the sensor support 18) in substantially the same location on the surgical instrument. Once pin 22 has been fully inserted into passageway 44, the user then rotates the pin 22 to thread the screw tip 69 of pin 22 into the threaded bore 95 of recess 16, as shown in
Once the sensor stem 30 has been coupled to the broach handle 14 by the fastener 22, the sensor array 12 may be coupled to the sensor stem 30. As discussed above, each spherical sensor 20 is coupled to a corresponding threaded shaft 40 of one of the sensor support arms 36. The sensor array 12 may also be coupled to the sensor stem 30 prior to the sensor stem 30 being inserted into recess 16 formed in broach handle 14. At this point the surgeons and other technicians may perform a computer guided orthopaedic surgical procedure using the broach handle 14, for example, to which the self-centering coupling device 10 has been coupled.
Once the procedure is completed, the pin 22 and the sensor support 18 are removed from the broach handle 14. The sensor support 18 and the sensor array 12 coupled to the first sensor support 18 are disposable and may be discarded after the surgical procedure is completed. As mentioned above in certain embodiments, sensor support 18 is made of a polymeric material, specifically a polycarbonate plastic, and may therefore be used as a one-use, disposable product. However, the sensor support 18 and/or the sensor array 12 may also be re-sterilized and used again for a second computer guided surgical procedure. In an illustrative embodiment, the sensor support 18 is disposed after the procedure, with pin 22 (and perhaps the sensor array 12) being sterilized and reused. As such, prior to a subsequent computer guided orthopaedic surgical procedure, for example, a replacement sensor support 18 may be removed from a sterile package (not shown) and coupled to a surgical instrument using the sterilized pin 22 that was reclaimed and sterilized from the previous procedure.
Claims
1. An apparatus for securing a sensor to a surgical instrument for use in computer guided orthopaedic surgery, the apparatus comprising:
- a sensor support having (i) a support arm configured to support the sensor, and (ii) a stem having (a) a first end secured to the support arm, and (b) a second end expandable from a first position in which the second end of the stem has a first width and a second position in which the second end of the stem has a second, larger width, and
- a pin configured to move the second end of the stem from the first position to the second position.
2. The apparatus of claim 1, wherein:
- the stem has a passageway extending therethrough,
- the passageway defines a first opening at the second end of the stem when the second end of the stem is positioned in the first position, and
- the passageway defines a second opening at the second end of the stem when the second end of the stem is positioned in the second position, the second opening being larger than the first opening.
3. The apparatus of claim 2, wherein insertion of the pin into the passageway causes the second end of the stem to be moved from the first position to the second position.
4. The apparatus of claim 3, wherein:
- the passageway is defined in an inner sidewall of the stem,
- the inner sidewall of the stem is tapered at the second end of the stem,
- the pin has a tapered end, and
- insertion of the pin into the passageway causes the tapered end of the pin to engage the tapered inner sidewall of the stem to move the second end of the stem from the first position to the second position.
5. The apparatus of claim 2, wherein:
- the sensor support arm is a first sensor support arm, and
- the sensor support further comprises a second sensor support arm and a third sensor support arm each coupled to the distal end of the cylindrical stem.
6. The apparatus of claim 5, wherein the first, second, and third support arms each include a threaded shaft configured to receive a sensor for computer guided surgery.
7. The apparatus of claim 1, wherein the second end of the stem has a pair of longitudinal slots defined therein.
8. The apparatus of claim 7, wherein each of the pair of longitudinal slots extends from the second end of the stem toward the first end of the stem a distance less than half a length of the stem.
9. The apparatus of claim 1, wherein the stem is substantially cylindrical in shape and has a lobe extending outwardly from the second end thereof.
10. The apparatus of claim 1, wherein the second end of the stem is tear-drop shaped.
11. The apparatus of claim 1, wherein the stem and the support arm are each constructed with a plastic material selected from the group consisting of: acrylic, epoxy, polyester, polypropylene, polyurethane, polyethylene, polycarbonate, polystyrene, polysulfone, polyetherimide, polyethersulfone, polyphenylsulfone, polyphenylsulfide, acrylonitrile-butadiene-styrene polymer, and polyetheretherketone.
12. The apparatus of claim 1, wherein the stem and the support arm are each constructed with polycarbonate plastic.
13. The apparatus of claim 1, wherein the pin is metallic.
14. The apparatus of claim 1, wherein the stem further includes a lip coupled to an inside surface of the stem and formed to project inwardly into the passageway of the stem, and the pin includes a main body and a rim projecting outwardly from the main body such that the rim of the pin engages the lip of the stem when the pin is positioned within the passageway of the stem.
15. The apparatus of claim 14, wherein the stem further includes a substantially U-shaped cut-out portion formed in an outer wall of the stem and defining a tab of the stem, and wherein the lip is coupled to the tab.
16. The apparatus of claim 1, wherein the pin includes a spring-loaded threaded screw at an end thereof.
17. An apparatus for securing a sensor to a surgical instrument for use in computer guided orthopaedic surgery, the apparatus comprising:
- a support arm configured to support the sensor, and
- a stem having a first end and a second end, wherein (i) the first end of the stem is secured to the support arm, and (ii) the second end of the stem is expandable between a first position in which the second end of the stem has a first width and a second position in which the second end of the stem has a second, larger width.
18. The apparatus of claim 17, wherein:
- the stem has a passageway extending therethrough,
- the passageway defines a first opening at the second end of the stem when the second end of the stem is positioned in the first position, and
- the passageway defines a second opening at the second end of the stem when the second end of the stem is positioned in the second position, the second opening being larger than the first opening.
19. The apparatus of claim 18, wherein:
- the passageway is defined by an inner sidewall of the stem, and
- the inner sidewall of the stem is tapered at the second end of the stem.
20. The apparatus of claim 17, wherein the support arm is a first support arm, the apparatus further comprising:
- a second support arm secured to the first end of the stem and a third support arm secured to the first end of the stem.
21. The apparatus of claim 20, wherein the first, second, and third support arms each include a threaded shaft configured to receive the sensor for use in computer guided orthopaedic surgery.
22. The apparatus of claim 17, wherein the second end of the stem has a pair of longitudinal slots defined therein.
23. The apparatus of claim 22, wherein each of the pair of longitudinal slots extends from the second end of the stem toward the first end of the stem a distance less than half a length of the stem.
24. The apparatus of claim 17, wherein the stem is substantially cylindrical in shape and has a lobe extending outwardly from the second end thereof.
25. The apparatus of claim 17, wherein the second end of the stem is tear-drop shaped.
26. The apparatus of claim 17, wherein the stem and the support arm are each constructed with a plastic material selected from the group consisting of: acrylic, epoxy, polyester, polypropylene, polyurethane, polyethylene, polycarbonate, polystyrene, polysulfone, polyetherimide, polyethersulfone, polyphenylsulfone, polyphenylsulfide, acrylonitrile-butadiene-styrene polymer, and polyetheretherketone.
27. The apparatus of claim 17, wherein the stem and the support arm are each constructed with polycarbonate plastic.
28. An apparatus for securing a sensor to a surgical instrument for use in computer guided orthopaedic surgery, the apparatus comprising:
- a polymeric body having (i) a support arm configured to support a sensor for computer guided surgery, and (ii) a stem secured to the support arm and extending downwardly therefrom.
29. The apparatus of claim 28, wherein the support arm includes a threaded shaft configured to receive the sensor.
30. The apparatus of claim 28, wherein the support arm is a first support arm, and the polymeric body includes a second support arm and a third support arm.
31. The apparatus of claim 28, wherein the stem includes a first end, a second end, and a passageway extending between the first and second ends.
32. The apparatus of claim 31, wherein:
- the support arm is secured to the first end, and
- the passageway is tapered at the second end.
33. The apparatus of claim 31, wherein the polymeric body is constructed with a plastic material selected from the group consisting of: acrylic, epoxy, polyester, polypropylene, polyurethane, polyethylene, polycarbonate, polystyrene, polysulfone, polyetherimide, polyethersulfone, polyphenylsulfone, polyphenylsulfide, acrylonitrile-butadiene-styrene polymer, and polyetheretherketone.
34. The apparatus of claim 28, wherein the polymeric body is constructed with polycarbonate plastic.
35. A surgical instrument for use in computer guided orthopaedic surgery, the instrument comprising:
- a body having a recess configured to receive a sensor support, the recess defined by a first side wall, a second side wall, and a bottom wall, the first side wall and the second side wall being inclined relative to one another.
36. The surgical instrument of claim 35, wherein the recess is further defined by a third side wall and a fourth side wall, the third side wall and the fourth side wall being inclined relative to one another.
37. The surgical instrument of claim 36, wherein:
- the first side wall and the second side wall are arranged in a substantially V-shaped configuration, and
- the third side wall and the fourth side wall are arranged in a substantially V-shaped configuration.
38. The surgical instrument of claim 35, wherein the recess is substantially diamond shaped.
39. The surgical instrument of claim 35, wherein the recess is tear-drop shaped.
40. The surgical instrument of claim 35, wherein a bore is formed through a portion of the bottom wall.
41. The surgical instrument of claim 40, wherein the bore is a threaded bore.
42. A method for attaching a sensor support carrying a sensor array to a surgical instrument for use in computer guided orthopaedic surgery, the method comprising the steps of
- (a) positioning an end of the sensor support into a recess formed in the surgical instrument, and
- (b) inserting a pin into a passageway of the sensor support to urge outer walls of the sensor support into contact with a number of side walls of the recess.
43. The method of claim 42, wherein the inserting step includes urging the pin into a tapered end of the passageway.
44. The method of claim 42, wherein the inserting step includes threading a screw tip of the pin into a threaded bore of the surgical instrument.
45. A method of using a computer guided orthopaedic surgical instrument, the method comprising the steps of
- (a) removing a first sensor support from a first sterile package,
- (b) securing the first sensor support to the surgical instrument with a sterile fastener,
- (c) performing a first computer guided orthopaedic surgical procedure,
- (d) removing the fastener and the first sensor support from the surgical instrument,
- (e) disposing of the first sensor support,
- (f) sterilizing the fastener for use in a second computer guided surgical procedure,
- (g) removing a second sensor support from a second sterile package
- (h) securing the second sensor support to the surgical instrument with the fastener, and
- (i) performing a second computer guided orthopaedic surgical procedure.
46. The method of claim 45, wherein the disposing step comprises disposing of the first sensor support without removing a number of sensors therefrom.
47. The method of claim 45, wherein:
- the disposing step comprises removing a number of sensors from the sensor support prior to disposal of the sensor support, and
- the step of securing the second sensor support to the surgical instrument comprises securing the number of sensors to the second sensor support.
48. The method of claim 47, further comprising the step of sterilizing the number of sensors prior to being secured to the second sensor support.
49. The method of claim 45, wherein:
- the step of securing the first sensor support to the surgical instrument comprises inserting a pin into a tapered passageway of the first sensor support.
Type: Application
Filed: Apr 21, 2004
Publication Date: Oct 27, 2005
Patent Grant number: 7300432
Inventors: Gabriel Surma (Winona Lake, IN), Troy Martin (Pierceton, IN), James Clark (Warsaw, IN), Jack Bryant (Warsaw, IN)
Application Number: 10/828,778